Thomas, Meredith Leigh

Thomas, Meredith Leigh is an individual health care provider with primary practice located at 1350 Hickory St , Melbourne FL 32901-3224. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Thomas, Meredith Leigh can be contacted via phone (321) 434-1401.

Contact Information

Primary practice address
1350 Hickory St Melbourne FL 32901-3224
Phone: (321) 434-1401
Fax: (321) 434-1667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 232558 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA04975 Texas
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA9115907 Florida

Profile Details

NPI number 1093888224
LBN Legal business name Thomas, Meredith Leigh
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated May 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093888224 NPPES
Texas MEDICAID 208057402
Texas MEDICAID 208057401
Texas Other D07564
Texas Other TXB149935
Texas Other 327288YV3C
Texas Other 891N49
Texas Other 273899YPWZ
Texas Other QU188
Texas Other DQ5280
Texas Other QU189
Texas MEDICAID 117865200

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